Artikel
Transient intradural catheter lysis in a patient with diffuse elongated traumatic subdural hematoma of the spine
Intradurale Katheter-Lyse in einer Patientin mit einem langstreckigen traumatischen subduralen spinalen Hämatom
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Veröffentlicht: | 11. April 2007 |
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Gliederung
Text
The often extended and elongated configuration of diffuse subdural hematoma of the spine is impossible to completely evacuate with common neurosurgical approaches.
We now describe complete evacuation of a diffuse traumatic subdural hematoma of the entire spine, with consecutive myelopathy using transient subdural catheter lysis.
After partial hemilaminectomy T7/8 and L2/3 using a lateral transmuscular approach, a 15 cm long Holter Salmon Rickham intraventricular catheter was inserted each in an overall one-hour procedure and connected to an external ventricular drainage system. Then, 5000 IE urokinase was applied four times daily for 30 minutes each over the next five days. Two months later, the patient presented with spastic paraparesis grade 4/5. MR tomography revealed no catheterrelated complications.
We conclude from this case that transient catheter lysis is an effective and gentle way to treat diffuse elongated traumatic subdural hematoma of the spine.